Scrotal Varicose Veins - significance?

[Guest guest]

 

Saw a gentleman today with scrotal varicose veins.

 

Not angiokeratomas.

 

    http://dermatlas.med.jhmi.edu/derm/indexDisplay.cfm?ImageID=835893440

 

Not varicoceles.

 

    http://www.theturekclinic.com/images/varicocele/image2.png

 

Literally, superficial varicose veins of the scrotum - both sides.No inguinal hernias palpable.

 

I spoke w/ the local urologist about whether that was pathonomonic for anything -- ie pelvic mass, etc.

 

He wasn't aware of any concern -- although a right sided varicocele could be a concern for renal cell cancer - he didn't think actual varicose veins of the scrotum was significant.

 

It's difficult for me to figure out what source the superficial scrotal veins are from - see below.

 

Any thoughts on potential pathology that would cause the varicosities of the scrotal surface?

 

 

http://www.bartleby.com/107/illus1147.html

 

 

Wiki seems to suggest... http://en.wikipedia.org/wiki/Posterior_scrotal_veins

 

Inferior Vena Cava>Common Iliac>Internal Iliac>Posterior Scrotal>Vesical Venous Plexus

 

http://upload.wikimedia.org/wikipedia/commons/0/0b/Gray585.png

 

 

 

 

Locke, MD